Before you buy
Every question we actually get.
Every question we actually get about the pen, how to use it, who should not, shipping and returns, with the safety answer stated plainly rather than buried. If yours is not here, email support@acunova.com , a person answers, usually within a few hours.
What it is, and what it isn't
What does an acupuncture pen actually do?
Two things at once, and neither involves a needle. Physically, the metal tip lets you press a specific point with steady, repeatable pressure, the same points you would press with a thumb. Electrically, it delivers a low-intensity pulse through that tip across nine levels, in the same broad family as a pharmacy TENS unit. That is the whole mechanism. It does not break the skin, and it is not acupuncture in the clinical sense of the word.
Is an acupressure pen the same as acupuncture?
No, and the distinction matters. Acupuncture involves inserting fine needles through the skin and is performed by a trained practitioner. This device never breaks the skin. It presses on a point and adds a mild electrical pulse. It borrows the point map that acupuncture and acupressure both use, which is where the name comes from, but the procedure is not the same and it is not a substitute for seeing one.
Is it a medical device?
No. It is a consumer wellness and massage tool. It has not been cleared or evaluated by the FDA or Health Canada, and nothing we say about it is a claim to treat, cure, prevent or diagnose any condition. If you are dealing with persistent pain, an injury, or any ongoing condition, the right step is a doctor rather than a gadget.
Does the evidence support acupressure?
The honest answer is that it is mixed. Acupressure and acupuncture have both been studied, particularly for musculoskeletal discomfort and nausea, and reviews tend to find some modest effects alongside real methodological problems: small samples and the genuine difficulty of blinding a treatment that involves someone pressing on you attentively. We would rather state that plainly than quote only the favourable studies. There is a fuller discussion in do acupressure pens actually work.
Safety, and who should not use one
Is it safe, and who should not use it?
It is a low-intensity consumer device, not a medical one, and it has not been cleared by the FDA or Health Canada. Do not use it if you have a pacemaker, an implanted defibrillator or any other implanted electronic device, and do not use it if you are pregnant, or over broken skin, an open wound, a rash, the front of the neck, or the eyes. If you have epilepsy, a heart condition, a metal implant near the area, or any ongoing medical condition, ask your doctor before using it at all. None of this is boilerplate buried at the bottom of a page: it is the actual answer to the question.
Can I use it with a pacemaker?
No. Do not use this or any electrical stimulation device if you have a pacemaker, an implanted defibrillator, or any other implanted electronic device. Implanted cardiac devices work by sensing the heart's own electrical activity, and an external current can in principle interfere with that. This is the one exclusion we would ask you to treat as absolute.
Can I use it while pregnant?
No. Electrical stimulation devices are not recommended during pregnancy. Several commonly used acupressure points are also traditionally avoided in pregnancy, but you do not need to learn which. The simpler guidance is to skip the device entirely and speak to your midwife or doctor.
Which areas should I avoid?
The front and sides of the neck (major blood vessels and the carotid sinus sit there), anywhere near the eyes, broken skin, open wounds, rashes, moles you are monitoring, and varicose veins. Also avoid any area where you have reduced sensation, since the whole method depends on being able to feel the intensity and back it off.
Using it
Does it hurt?
It should not. Level 1 is a faint tingle most people describe as a tickle; the higher levels feel like a firm, rhythmic tap. Everyone's comfortable range is different, so start at 1 and work up. If it stings or feels sharp rather than tapping, lower the level or move the tip: dry skin and a bony spot both make the sensation harsher than it needs to be.
Where do I use it, and for how long?
Start where you already rub yourself: the base of the neck, the top of the shoulders, the forearms, the lower back, the outside of the knee. The quick-start card in the box maps the common points, and there is a fuller guide on our blog. A sensible session is 5 to 15 minutes across a few points, once or twice a day. Longer is not better. If a spot goes numb, sore or red, stop and move on.
Which head should I use where?
Broad heads for broad muscle, fine points for specific spots. A multi-point head suits shoulders, calves and forearms; the fine point suits the hand or a precise spot at the base of the skull; a flat head suits the lower back and thighs. The key rule is that a smaller contact area feels much stronger at the same setting, so drop the intensity when you switch to a point. There is a full breakdown in which head should you use.
How often can I use it?
Once or twice a day is a sensible ceiling for most people, with sessions of five to fifteen minutes across a few points. Consistency does more than duration: a short daily round beats a long weekly one. Stop if a spot becomes numb, unusually sore, or stays red for more than an hour or two.
Choosing a version
What is in the box, and does it need charging?
The pen, all four heads (rounded ball, ridged, fine point and flat spoon), a storage case and a quick-start card. It runs on a single AA battery rather than a charger, which is also why it is fine to pack in hand luggage.
What is the difference between the 3-head and 5-head versions?
A three-point head is more precise and suits smaller or contoured areas: the forearm, the neck, around the knee. A five-point head covers more ground per pass, so it works faster across broad muscle like the calves, thighs and the wide part of the back. Neither is better; pick three-point if you mostly work neck and arms, five-point if you mostly work back and legs. Both are listed on the product page.
Oil-free or oil-infused?
Oil-infused heads carry a small reservoir so the tip glides instead of dragging, which most people prefer on the neck and shoulders. Oil-free suits staying on a single point and avoids getting product on clothes or hair. If you are unsure and mostly want neck and shoulder work, oil-infused is the safer first pick.
Shipping and returns
How long does delivery take, and what does it cost?
Shipping is free to the US and Canada, with no minimum order. Orders are processed within 1–3 business days, then tracked delivery typically takes 5–11 business days depending on where you are. See the full country-by-country breakdown on our About page. Your tracking number arrives by email the moment the label is scanned.
What if it arrives damaged, or the wrong item shows up?
We do not offer change-of-mind returns on a personal-care device, so read the safety answer above before you order. If your pen arrives damaged, is missing a head, or is not what you ordered, send us a photo within 30 days of delivery and we will ship a free replacement or refund, with nothing to send back.